The Relation Between Heptic Lobes Atrophy and Portal Vein Flow

Objective:To evaluate the lobe variety of hepatic cirrhosis,investigate the blood flow of Portal Vein,and analyze the relation between the Portal Vein and hepatic lobes.Methods: 54 patients with hepatic cirrhosis and 40 normal controls were enrolled the study.For all the subjects,the hepatic lobes volume,the portal vein flow,portal vein inner diameter and portal vein blood velocity was evaluated by Doppler ultrasound;and the plasma albumin,bilirubin,acetylcholine esterase were investigated to evaluate the liver function.Results: In the liver cirrhosis group,the mean age of patients was 46.3,and 32 was male;and in these patients,16 was in Child A,27 was in Child B,and 11 was in Child C.For the normal controls,the mean age was 41.8,and 24 was male.In the liver cirrhosis,the the ratio of right lobe to left lobe was much lower than the ration in the controls(p0.05),the portal vein inner diameter and blood flow both were significantly higher than the controls,respectively(p0.05).With the Child classification increased,the portal vein blood flow increased,accordingly.In the portal vein blood flow of the liver cirrhosis,the right branch was significant lower than the left branch(p0.05).Besides,the ratio of right-left branch flow of liver cirrhosis was much lower than the ratio in the normal controls(p0.05).In the liver cir-rhosis group,the ratio of right-left branch flow was significant correlated with ratio of right-left liver lobe(r=0.64,p0.05).Conclusion: The evaluation of liver portal vein would benefit to the prognosis of liver cirrhosis and treatment effectiveness.